| NPI | 1356940803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11029933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 900124) |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2024-04-15 |